System and method for local electrophysiological characterization of cardiac substrate using multi-electrode catheters

Patent metadata

Field	Value
Publication number	US-10470682-B2
Application number	US-201515118522-A
Country	US
Kind code	B2
Filing date	Feb 25, 2015
Priority date	Feb 25, 2014
Publication date	Nov 12, 2019
Grant date	Nov 12, 2019

Abstract

A system for determining electrophysiological data comprising an electronic control unit configured to acquire electrophysiology signals from a plurality of electrodes (130) of one or more catheters, select at least one clique of electrodes from the plurality of electrodes (136) to determine a plurality of local E field data points, determine the location and orientation of the plurality of electrodes, process the electrophysiology signals from the at least one clique from a full set of bipole subcliques to derive the local E field data points associated with the at least one clique of electrodes, derive at least one orientation independent signal from the at least one clique of electrodes (138) from the information content corresponding to weighted parts of electrogram signals, and display or output catheter orientation independent electrophysiologic information to a user or process.

First claim

What is claimed is:

1. A system for determining electrophysiological data comprising:
an electronic control unit configured to:
acquire electrophysiology signals from a plurality of electrodes of one or more catheters;
select at least one clique of electrodes from the plurality of electrodes to determine a plurality of local E field data points;
determine the location and orientation of the plurality of electrodes;
process the electrophysiology signals from the at least one clique from a full set of bipole subcliques to derive the local E field data points associated with the at least one clique of electrodes;
derive at least one orientation independent signal from the at least one clique of electrodes from the information content corresponding to weighted parts of electrogram signals; and
display or output catheter orientation independent electrophysiologic information to a user or process.

2. The system of claim 1 , wherein the at least one orientation independent signal comprises at least one of En, Ea, Ew, E, and Et and wherein the at least one orientation independent signal comprises an omnipole.

3. The system of claim 2 , wherein the electronic control unit is further configured to use the at least one orientation independent signal to derive at least one of an electrogram amplitude, an activation timing, and a conduction velocity vector.

4. The system of claim 3 , wherein the electronic control unit is further configured to derive the conduction velocity from an activation direction and an equivalent bipole.

5. The system of claim 1 , wherein the at least one clique comprises n electrodes, and wherein the electronic control unit is configured to derive the local E field by choosing one of the electrodes within the at least one clique of electrodes as a reference electrode and to determine n−1 bipolar potentials and displacements of the remaining electrodes of the at least one clique with respect to the reference electrode.

6. The system of claim 2 , wherein the electronic control unit is further configured to weight the E field data points to derive other orientation independent indices of electrophysiologic function such as substrate voltage amplitude, local activation timing, or conduction velocity.

7. The system of claim 6 , wherein the plurality of E field data points form an E field loop, and wherein the electronic control unit is further configured to weight each of the E field data points based on the distance of a point in the E field from an isoelectric origin.

8. The system of claim 7 , wherein the electronic control unit is further configured to determine the conduction velocity after the E field loop components have been weighted.

9. The system of claim 6 , wherein the plurality of E field data points form an E field loop, and wherein the electronic control unit is further configured to weight the data points in the E-field loop based on |d/dt(E(t)|.

10. The system of claim 1 , wherein the at least one clique of electrodes is an overdetermined clique and the at least one clique can comprise a plurality of subcliques.

11. The system of claim 1 wherein the electronic control unit is further configured to use at least one criteria to determine whether each at least one clique is in contact with a target surface.

12. The system of claim 11 , wherein the at least one criteria comprises at least one of an angular deviation, a distance between the at least one clique and a target surface, an amplitude of a unipolar signal obtained from each of the electrodes in a clique, the morphology of unipolar signals obtained from the electrodes in a clique, and the characteristics of E t and E a from a clique.

13. The system of claim 12 , wherein a user or process selects one or more of the criteria used to determine whether each at least one clique is in contact with a target surface.

14. A method for determining electrophysiological data comprising:
acquiring electrophysiology signals from a plurality of electrodes of one or more catheters;
selecting at least one clique of electrodes from the plurality of electrodes to determine a plurality of local E field data points;
determining the location and orientation of the plurality of electrodes;
processing the electrophysiology signals from the at least one clique from a full set of bipole subcliques to derive the local E field data points associated with the at least one clique of electrodes;
deriving at least one orientation independent signal from the at least one clique of electrodes from the information content corresponding to weighted parts of electrogram signals; and
displaying or output catheter orientation independent electrophysiologic information to a user or process.

15. The method of claim 14 , wherein the at least one orientation independent signal comprises at least one of En, Ea, and Et.

16. The method of claim 14 , further comprising using the at least one orientation independent signal to derive at least one of an electrogram amplitude, an activation timing, and a conduction velocity.

17. The method of claim 14 , further comprising weighting the E field data points to derive other orientation independent indices of electrophysiologic function such as substrate voltage amplitude, local activation timing, or conduction velocity.

Assignees

• St Jude Medical Cardiology Div Inc

Inventors

• Deno D Curtis
• Balachandran Ram K

Classifications

• A61B18/1492

  having a flexible, catheter-like structure, e.g. for heart ablation (A61B18/1477 takes precedence) · CPC title

• A61B2562/0209

  Special features of electrodes classified in A61B5/24, A61B5/25, A61B5/283, A61B5/291, A61B5/296, A61B5/053 · CPC title

• A61M25/0127

  Magnetic means; Magnetic markers · CPC title

• A61M2025/0166

  Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided · CPC title

• A61B2562/046

  in a matrix array · CPC title